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Licensing details for: 6377

Name: NATIONAL VISION EYECARE CENTER #2546

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Previous Names: VISION CENTER LOCATED IN WAL-MART # 2546

Address of Record

2300 N TUSTIN ST
ORANGE CA 92865
ORANGE county
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Issuance Date

January 30, 1998

Expiration Date

January 31, 2024

Current Date / Time

November 6, 2025
4:3:41 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: ELISSONDO, KRISTEN MARIE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2113 Primary Status: Cancelled

Address :
2555 Tachevah Dr
SANTA ROSA CA 95405-8074
SONOMA COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: SEYEDI REZVANI, PANTEASADAT

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9198 Primary Status: Current

Address :
5078 Manor Ridge Ln
SAN DIEGO CA 92130-2896
SAN DIEGO COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SEYEDI REZVANI, PANTEASADAT

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40840 Primary Status: Cancelled

Address :
2116 Timberwood
IRVINE CA 92620-0270
ORANGE COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GIBSON, GEORGE WILLIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4689 Primary Status: Cancelled

Address :
21502 LEGEND AVENUE
LONG BEACH CA 90806
LOS ANGELES COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CAJIUAT, ROSALINDA SARMIENTO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5117 Primary Status: Current

Address :
515 S Knott Ave Apt 208
ANAHEIM CA 92804-2870
ORANGE COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SIRESS, TYLER HAYES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40359 Primary Status: Current

Address :
4786 Satin Bell Dr
CORONA CA 92878-9486
RIVERSIDE COUNTY

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